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Reducing stillbirths in Ethiopia: Results of an intervention programme

Previous studies from South Ethiopia have shown that interventions that focus on intrapartum care substantially reduce maternal mortality and there is a need to operationalize health packages that could reduce stillbirths. The aim of this paper is to evaluate if a programme that aimed to improve mat...

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Autores principales: Lindtjørn, Bernt, Mitike, Demissew, Zidda, Zillo, Yaya, Yaliso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976193/
https://www.ncbi.nlm.nih.gov/pubmed/29847607
http://dx.doi.org/10.1371/journal.pone.0197708
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author Lindtjørn, Bernt
Mitike, Demissew
Zidda, Zillo
Yaya, Yaliso
author_facet Lindtjørn, Bernt
Mitike, Demissew
Zidda, Zillo
Yaya, Yaliso
author_sort Lindtjørn, Bernt
collection PubMed
description Previous studies from South Ethiopia have shown that interventions that focus on intrapartum care substantially reduce maternal mortality and there is a need to operationalize health packages that could reduce stillbirths. The aim of this paper is to evaluate if a programme that aimed to improve maternal health, and mainly focusing on strengthening intrapartum care, also would reduce the number of stillbirths, and to estimate if there are other indicators that explains high stillbirth rates. Our study used a “continuum of care” approach and focussed on providing essential antenatal and obstetric services in communities through health extension workers, at antenatal and health facility services. In this follow up study, which includes the same 38.312 births registered by community health workers, shows that interventions focusing on improved intrapartum care can also reduce stillbirths (by 46%; from 14.5 to 7.8 per 1000 births). Other risk factors for stillbirths are mainly related to complications during delivery and illnesses during pregnancy. We show that focusing on Comprehensive Emergency Obstetric Care and antenatal services reduces stillbirths. However, the study also underlines that illnesses during pregnancy and complications during delivery still represent the main risk factors for stillbirths. This indicates that obstetric care need still to be strengthened, should include the continuum of care from home to the health facility, make care accessible to all, and reduce delays.
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spelling pubmed-59761932018-06-17 Reducing stillbirths in Ethiopia: Results of an intervention programme Lindtjørn, Bernt Mitike, Demissew Zidda, Zillo Yaya, Yaliso PLoS One Research Article Previous studies from South Ethiopia have shown that interventions that focus on intrapartum care substantially reduce maternal mortality and there is a need to operationalize health packages that could reduce stillbirths. The aim of this paper is to evaluate if a programme that aimed to improve maternal health, and mainly focusing on strengthening intrapartum care, also would reduce the number of stillbirths, and to estimate if there are other indicators that explains high stillbirth rates. Our study used a “continuum of care” approach and focussed on providing essential antenatal and obstetric services in communities through health extension workers, at antenatal and health facility services. In this follow up study, which includes the same 38.312 births registered by community health workers, shows that interventions focusing on improved intrapartum care can also reduce stillbirths (by 46%; from 14.5 to 7.8 per 1000 births). Other risk factors for stillbirths are mainly related to complications during delivery and illnesses during pregnancy. We show that focusing on Comprehensive Emergency Obstetric Care and antenatal services reduces stillbirths. However, the study also underlines that illnesses during pregnancy and complications during delivery still represent the main risk factors for stillbirths. This indicates that obstetric care need still to be strengthened, should include the continuum of care from home to the health facility, make care accessible to all, and reduce delays. Public Library of Science 2018-05-30 /pmc/articles/PMC5976193/ /pubmed/29847607 http://dx.doi.org/10.1371/journal.pone.0197708 Text en © 2018 Lindtjørn et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lindtjørn, Bernt
Mitike, Demissew
Zidda, Zillo
Yaya, Yaliso
Reducing stillbirths in Ethiopia: Results of an intervention programme
title Reducing stillbirths in Ethiopia: Results of an intervention programme
title_full Reducing stillbirths in Ethiopia: Results of an intervention programme
title_fullStr Reducing stillbirths in Ethiopia: Results of an intervention programme
title_full_unstemmed Reducing stillbirths in Ethiopia: Results of an intervention programme
title_short Reducing stillbirths in Ethiopia: Results of an intervention programme
title_sort reducing stillbirths in ethiopia: results of an intervention programme
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976193/
https://www.ncbi.nlm.nih.gov/pubmed/29847607
http://dx.doi.org/10.1371/journal.pone.0197708
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